Shellie Suffel
Individual provider Active NPI Physical Therapy Assistant · Hardy, VA
NPI 1720401441 · NPPES record last updated Jan 31, 2014
Key facts
- NPI
- 1720401441
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- 2306602703 (VA)
- Practice address
- 2924 Eton Rd
Hardy, VA 24101-4816 - Phone
- (540) 238-1951
- NPI assigned
- Jan 31, 2014
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2306602703 | VA | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 2306602703 | VA | Yes |
Addresses
Primary practice location
2924 Eton Rd
Hardy, VA 24101-4816
Mailing address
2924 Eton Rd
Hardy, VA 24101-4816
Phone (540) 238-1951
Other providers in Hardy, VA
- Amanda Sadzewicz
- Sarah Day Sargent
- Charles Francis Shrock
- Sarah Elizabeth Simpson
- Smil Mountain Lake Retirement Village
- Jenifer Suri
- Maegan Taylor
- Edward Paul Ulrich Jr.
- Jason Christopher Urda
- Marissa Henrietta Vanarsdale
All providers in Hardy, VA · Physical Therapy Assistant in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 31, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.